SHANNON MARIE RISTAU (NPI# 1881764876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881764876 |
| Entity Type | Individual |
| Full Name | SHANNON MARIE RISTAU |
| Practice Address |
2115 Summit Ave Loras Hall 406 Saint Paul MN 55105-1048 |
| Mailing Address |
1776 Saint Clair Ave Apt #407 Saint Paul MN 55105-1962 |
| Practice Telephone | 5033962896 |
| Mailing Telephone | 6516900177 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2115 SUMMIT AVE LORAS HALL 406 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55105-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568422244 | Amy Gilbertson | Specialist/Technologist | 2115 Summit Ave, Ste 5003, Saint Paul, MN 55105-1048 | 2006-03-25 |
| 1497113377 | Robert Zelesnikar | Specialist/Technologist | 2115 Summit Ave, Arc 117e, Saint Paul, MN 55105-1048 | 2016-02-05 |
| 1255549267 | Sarah K Armstrong | Psychologist | 2115 Summit Ave, Mail 4040, Saint Paul, MN 55105-1048 | 2007-05-21 |
| 1881819886 | Student Health Service University of St. Thomas | Clinic/Center | 2115 Summit Ave, Mailbox #5056, Saint Paul, MN 55105-1048 | 2007-04-16 |
| 1225156227 | Gail Ann Conzemius | Registered Nurse | 2115 Summit Ave, #5056, Saint Paul, MN 55105-1096 | 2007-03-27 |
| 1184740664 | Madonna Kathryn Mcdermott | Nurse Practitioner | 2115 Summit Ave, Mail Box 5056, Saint Paul, MN 55105-1048 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704020 | Grand Avenue Smiles | Dentist | 1845 Grand Avenue, St. Paul, MN 55105 | 2019-08-09 |
| 1205304839 | Michelle Marie Loken Price | Acupuncturist | 877 Lincoln Ave, Saint Paul, MN 55105 | 2018-11-13 |
| 1326566936 | Becky Lynn Lawyer | Counselor | 1704 Palace Ave, St Paul, MN 55105 | 2017-09-04 |
| 1679020226 | Internal Revolution Counseling and Consulting, L.L.C. | Psychologist | 1123 Grand Avenue, Suite 201, Saint Paul, MN 55105 | 2016-09-01 |
| 1487059689 | Jennifer Mason | Lactation Consultant, Non-RN | 1382 Summit Ave, Saint Paul, MN 55105 | 2014-10-30 |
| 1679818850 | Marc Lane Wolfson | Registered Nurse | 1148 Grand Avenue, St. Paul, MN 55105 | 2012-11-29 |
| 1457602781 | Charting Your Success | Social Worker | 2050 St Clair Avenue, Suite 1e, St Paul, MN 55105 | 2012-09-26 |
| 1871867549 | Stacia Hanson Ma Lp LLC | Psychologist | 889 Grand Avenue, Suite 203, St Paul, MN 55105 | 2012-02-28 |
| 1265718142 | Caitlin Marie Young | Midwife | 968 Grand Ave., St. Paul, MN 55105 | 2011-10-24 |
| 1659512622 | Wellness Cooperative LLC | Chiropractor | 976 Grand Ave., St. Paul, MN 55105 | 2009-03-20 |
| Find all providers in zip 55105 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895770 | Arielle Johnson | Student in an Organized Health Care Education/Training Program | 1162 Thomas Ave, Saint Paul, MN 55104-2538 | 2020-09-15 |
| 1669094538 | Jessie Mae Juenemann | Student in an Organized Health Care Education/Training Program | 1412 Taylor Ave W, Saint Paul, MN 55104-1329 | 2020-05-13 |
| 1043830896 | Lorenzo Angelo Pavoloni | Student in an Organized Health Care Education/Training Program | 1970 Bohland Ave, Saint Paul, MN 55116-1909 | 2020-04-22 |
| 1396384418 | Meagan Nicole Brockman | Student in an Organized Health Care Education/Training Program | 388 Snelling Ave S, Saint Paul, MN 55105-2142 | 2020-01-06 |
| 1386283000 | Anna Boyd | Student in an Organized Health Care Education/Training Program | 808 Berry St Apt 481, Saint Paul, MN 55114-1380 | 2019-12-27 |
| 1811535362 | Hanna Elizabeth Erickson | Student in an Organized Health Care Education/Training Program | 1514 Chelsea St, Saint Paul, MN 55108-2310 | 2019-12-16 |
| 1255977377 | Kao Youa Lee | Student in an Organized Health Care Education/Training Program | 1692 Maryland Ave E, Saint Paul, MN 55106-2941 | 2019-11-24 |
| 1245876796 | Michael Kittok | Student in an Organized Health Care Education/Training Program | 1274 Sherburne Ave, Saint Paul, MN 55104-2529 | 2019-11-19 |
| 1750944773 | Terrell Messerly | Student in an Organized Health Care Education/Training Program | 750 Otto Ave Unit 2236, Saint Paul, MN 55102-5042 | 2019-04-16 |
| 1205397015 | Taylor Christine Millikan | Student in an Organized Health Care Education/Training Program | 640 Jackson Street - Mail Stop 11109e, Saint Paul, MN 55101-2502 | 2019-03-26 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55105 |
Please comment or provide details below to improve the information on SHANNON MARIE RISTAU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.